NPI | 1154384311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A73466) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A73466) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2020-10-04 |